Active NPI
G.D. Pionek,D.D.S.,S.C.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Green Bay, WI
National Provider Identifier
1386850790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- G.D. PIONEK,D.D.S.,S.C.
- Practice address
- 1825 S Webster Ave
Suite 201
Green Bay, WI 54301-2280 - Phone
- (192) 043-7811
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerald David Pionek, D.D.S.
- Title
- Ceo
- Phone
- (920) 437-8116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | WI | Primary |
Addresses
Primary practice location
1825 S Webster Ave
Suite 201
Green Bay, WI 54301-2280
Mailing address
1825 S Webster Ave
Suite 201
Green Bay, WI 54301-2280
Phone (192) 043-7811
National Provider Directory
National Provider DirectoryLocations
1825 S Webster Ave
Ste 201
Green Bay, WI 54301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386850790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 S WEBSTER AVE",
"address_2": "SUITE 201",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543012280",
"telephone_number": "192-043-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 S WEBSTER AVE",
"address_2": "SUITE 201",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543012280",
"telephone_number": "192-043-7811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G.D. PIONEK,D.D.S.,S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PIONEK",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "19204378116",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.